Interchangeable Grouping
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28:00 CENTRAL NERVOUS SYSTEM DRUGS
28:12:00 ANTICONVULSANTS
LU Criteria Text
LACOSAMIDE
100mg Tab
Interchangeables found: 11
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DIN/ PIN/ NPN
Brand Name
Drug Benefit Price or Unit Price
Amount MOH Pays:
02489295
Ach-Lacosamide
0.8750
0.8750
02475340
Auro-Lacosamide
0.8750
0.8750
02488396
Jamp-Lacosamide
0.8750
0.8750
02512882
Lacosamide
0.8750
0.8750
02487810
Mar-Lacosamide
0.8750
0.8750
02490552
Mint-Lacosamide
0.8750
0.8750
02499576
NRA-Lacosamide
0.8750
0.8750
02478218
Pharma-Lacosamide
0.8750
0.8750
02474689
Sandoz Lacosamide
0.8750
0.8750
02472910
Teva-Lacosamide
0.8750
0.8750
02357623
Vimpat
3.5000
0.8750
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